**Customer Service Representative – Work From Home Opportunity at arenaflex**

**Join arenaflex's dynamic team and embark on a rewarding career in customer service, working from the comfort of your own home.** At arenaflex, we're committed to delivering exceptional healthcare services that make a meaningful difference in people's lives. Our purpose is to bring our heart to every moment of your health, and we're looking for talented individuals like you to help us achieve this vision. **About arenaflex** arenaflex is a leading healthcare organization dedicated to providing innovative solutions that make healthcare more personal, convenient, and affordable. Our team is passionate about delivering exceptional customer experiences, and we're excited to welcome like-minded individuals to our dynamic team. **Our Heart At Work Behaviors** Our Heart At Work Behaviors support our purpose and guide our commitment to delivering exceptional healthcare services. These behaviors include: * Empowering our employees to take ownership of their work and make a meaningful impact * Fostering a culture of innovation and continuous improvement * Prioritizing customer satisfaction and delivering exceptional experiences * Embracing diversity, equity, and inclusion in all aspects of our work * Encouraging open communication and collaboration across teams **Job Summary** We're seeking a highly motivated and customer-focused Customer Service Representative to join our team. As a Customer Service Representative, you will be responsible for managing customer inquiries, resolving complaints, and providing exceptional customer experiences. This is a work-from-home opportunity, and you must live in the state of Oklahoma. **Responsibilities** * Maintain a positive, empathetic, and professional attitude toward customers at all times * Respond promptly to customer inquiries and resolve complaints in a timely and effective manner * Communicate with customers through various channels, including phone, email, and chat * Process orders, forms, applications, and requests in a timely and accurate manner * Keep records of customer interactions, transactions, comments, and complaints * Communicate and coordinate with colleagues as necessary to resolve customer issues * Provide feedback on the efficiency of the customer service process * Manage a team of junior customer service representatives (in the future) **Key Responsibilities** * Answer questions and resolve issues based on phone calls/letters from members, providers, and plan sponsors * Triage resulting rework to appropriate staff * Provide excellent customer services for high-volume inbound provider calls for the Claims Inquiry/Claims Research team * Extensive claims research on multiple platforms to assist providers with payment questions * Provide the customer with related information to answer unasked questions, e.g., additional plan details, benefit plan details, member self-service tools, etc. * Use customer service threshold framework to make financial decisions to resolve member issues * Explain member's rights and responsibilities in accordance with contract * Process claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance, and appeals (member/provider) via target system * Educate & assist providers on our self-service options * Assist providers with credentialing and re-credentialing and contracting questions and issues * Assist in compiling claim data for customer audits * Determine medical necessity, applicable coverage provisions, and verify member plan eligibility relating to incoming correspondence and internal referrals **Qualifications** * MUST live in the state of Oklahoma full-time * Familiarity with Microsoft Office products * Experience in highly transactional call center environment * Excellent customer service and critical thinking * High-speed internet access (25 mbps or higher) and consistent connection * Work location must be set up with a direct connection to the router (NOT Wi-Fi) * We provide a 6 ½ foot long ethernet cord, if the distance is further, you will be required to provide your own ethernet cable **Education** * High School diploma or GED equivalent **Training and Onboarding** * 4 weeks of virtual training between the hours of 8-5 CST * Permanent schedule: Monday-Friday, with flexible start and end times (as early as 7 am CST and as late as 7 pm CST) **What We Offer** * Competitive compensation and benefits package * Opportunity to work from home and enjoy a better work-life balance * Comprehensive training and onboarding program * Collaborative and dynamic work environment * Opportunities for career growth and professional development * Recognition and rewards for outstanding performance **How to Apply** If you're a motivated and customer-focused individual who is passionate about delivering exceptional healthcare services, we encourage you to apply for this exciting opportunity. Please visit our website to submit your application and join our team at arenaflex. Apply Job! Apply for this job